Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Jackson

Individual provider Clinical Social Worker · NPI 1003782095

Christopher Jackson is a Clinical Social Worker in Richmond Hill, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

11711 Myrtle Ave
Richmond Hill, NY 11418-1751
Phone: (718) 847-9233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (NY)

Record details

NPI number1003782095
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 15, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 15, 2025

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